Abstract
In 1995 the Italian National Health Service begun to fund its hospitals on a per case basis, classified according to a DRGs system. Five out of 21 Italian regions developed a regional DRG tariff system, while the majority adopted the system set at national level. The article presents how tariffs are set by the national government and by the Lombardy Region. Production cost (mainly assessed according to a top-down, gross-costing approach) is only one of the variables used for setting tariffs. Microcosting is not used and, apparently, is not deemed as an appropriate methodology. After 10 years since their introduction national and regional tariffs are still not derived from explicit algorithms.
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Fattore G (1999) Cost-containment and reforms in the Italian National Health Service. In: Mossialos E, Le Grand J (eds) Health care and cost containment in the European Union. Ashgate, Aldershot
France G, Taroni F, Donatini A (2005) The Italian health-care system. Health Econ 14:187–202
France G, Taroni F (2005) The evolution of health-policy making in Italy. J Health Polit Policy Law 30:169–188
Fattore G, Garattini L (1989) L’allocazione delle risorse finanziarie nel Servizio Sanitario Nazionale: il quadro teorico e una soluzione pratica. Econ Pubblica 12:541–556
Lecci F, Longo F (2005) Strumenti e processi di programmazione e controllo attivati dale aziende del SSN. In: Anessi Pessina E, Cantù E (eds) L’aziendalizzazione in sanità in Italia. Rapporto OASI 2005. Egea, Milano
Jommi C, Cantù E, Anessi-Pessina E (2001) New funding arrangements in the Italian National Health Service. Int J Health Plann Manag 16:347–368
Anessi Pessina E, Cantù E, Jommi C (2004) Phasing out market mechanisms in the Italian National Health Service. Public Money Manag 5:309–316
http://www.sanita.forumpa.it/documenti/0/0/60/69/8-neparliamocon.html
Guccio C (2005) Le politiche di riforma organizzativa ed istituzionale nel sistemaospedalierio italiano. In: Guccio C, Pignataro G, Rizzo I (eds) Finanziamento e valutazione dei servizi ospedalieri. FrancoAngeli, Milano
Taroni F (1996) DRG/ROD e nuovo sistema di finanziamento degli ospedali. Il Pensiero Scientifico editore, Roma
Adduce A, Lorenzoni L (2004) Metodologia e primi risultati di un’indagine ministeriale sui costi delle prestazioni di ricovero ospedaliero. Polit Sanit 5:158–172
Fattore G, Longo F (2002) Le tendenze evolutive nei sistemi regionali: analisi di alcuni piani sanitari rappresentativi. In: Anessi Pessina E, Cantù E (eds) L’aziendalizzazione in sanità in Italia. Rapporto OASI 2002. Egea, Milano
Agnello M, Merlino L, Zocchetti C (2003) DRG in Lombardia. In: Nonis M, Lerario AM (eds) DRG: valutazione e finanziamento degli ospedali- Esperienze nazionali e politiche delle regioni in Italia. Il Pensiero Scientifico Editore, Roma
Louis DZ, Yuen EJ, Braga M, Cicchetti A, Rabinowitz C, Laine C, Gonnella JS (1999) Impact of a DRG-based hospital financing system on quality and outcomes of care in Italy. Health Serv Res 34:405–415
Torbica A, Fattore G (2005) The “Essential Levels of Care” in Italy: when being explicit serves the devolution of powers. The European Journal of Health Economics 6:46–52
Regional Health Service Agency/ASSR (2005) I mattoni del SSN: Evoluzione del sistema DRG nazionale. Monitor 13:42–44
Jommi C, Del Vecchio M (2004) I sistemi di finanziamento delle aziende sanitarie del Ssn. Mecosan 49:9–20
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Fattore, G., Torbica, A. Inpatient reimbursement system in Italy: How do tariffs relate to costs?. Health Care Manage Sci 9, 251–258 (2006). https://doi.org/10.1007/s10729-006-9092-2
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DOI: https://doi.org/10.1007/s10729-006-9092-2